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HOLIDAY CVS, L.L.C.
CH04907R Community Health Centers Of Pinellas, Inc.
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Covered Entity Details
Entity Name
Community Health Centers Of Pinellas, Inc.
Subdivision Name
Evara Health - Mobile Health Center
Type
HRSA-Funded Health Center
340B ID
CH04907R
Entity Address
1344 22nd St S
St Petersburg, FL 33712-2744
Grant Number
H80CS00463
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOLIDAY CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00171
7400 49TH ST N
PINELLAS PARK, FL 33781
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elodie Leigh Dorso, CEO
(727) 824-8100
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2024
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